Winston County Family Medical Clinic | |
14130 Highway 15 S Ste D Louisville MS 39339-6452 | |
(662) 779-1175 | |
(844) 778-8922 |
Full Name | Winston County Family Medical Clinic |
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Speciality | Clinic/Center |
Location | 14130 Highway 15 S Ste D, Louisville, Mississippi |
Authorized Official Name and Position | Wilbert L. Jones (CEO) |
Authorized Official Contact | 6016930118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Winston County Family Medical Clinic 2701 Davis St Meridian MS 39301-5708 Ph: (601) 693-0118 | Winston County Family Medical Clinic 14130 Highway 15 S Ste D Louisville MS 39339-6452 Ph: (662) 779-1175 |
NPI Number | 1770680019 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 05/03/2024 |
Medicare PECOS PAC ID | 9032027834 |
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Medicare Enrollment ID | O20101203000590 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770680019 | NPI | - | NPPES |
009015060 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Main Street Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Main St, Louisville, MS 39339 Phone: 662-803-5318 | |
Winston Medical Clinic Main Street Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16569 W Main St, Louisville, MS 39339 Phone: 662-773-5704 Fax: 662-773-9463 | |
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Focuscare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2095 S Church Ave, Louisville, MS 39339 Phone: 662-803-0415 | |
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